PARKVIEW PROFESSIONAL PROGRAMS, INC. (NPI# 1508950171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508950171 |
| Entity Type | Organization |
| Organization Name | PARKVIEW PROFESSIONAL PROGRAMS, INC. |
| Other Organization Name | PARKVIEW HEALTH LABORATORIES |
| Practice Address |
11109 Parkview Plaza Dr Fort Wayne IN 46845-1701 |
| Mailing Address |
Po Box 5600 Fort Wayne IN 46895-5600 |
| Practice Telephone | 2603739420 |
| Practice Fax Number | 2603739464 |
| Mailing Telephone | 2603737008 |
| Mailing Fax Number | 2603737059 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2012-12-19 |
| Authorized Official Name | MR. MIKE BROWNING (EXECUTIVE VP -- CFO) |
| Authorized Official Telephone | 2603738407 |
| Is Organization Subpart | Y |
| Parent Organization Name | PARKVIEW PROFESSIONAL PROGRAMS, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TRICARE | 1000514 | 01 | |
| OH | 2875661 | 05 | |
| IN | 100282380 | 05 | |
| PHP | 2814 | 01 | |
| BLACK LUNG | 806088 | 01 | |
| ANTHEM | 000000097317 | 01 |
| Other Name | Type Code |
|---|---|
| Parkview Health Laboratories | Other Name - Individual/Organization |
| Street Address |
11109 PARKVIEW PLAZA DR |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46845-1701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811994163 | Ramabrahmam Gullapalli | Anesthesiology | 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2005-07-01 |
| 1548868375 | Lindsey Stangland | Social Worker | 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2020-10-14 |
| 1417563594 | Angela Morales | Registered Nurse | 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2020-09-23 |
| 1649883687 | Rachel Capito | Pharmacist | 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2020-08-28 |
| 1407467004 | Ashley Logan | Pharmacist | 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2020-08-17 |
| 1417568247 | Curtis Dale Stump Jr. | Pharmacist | 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2020-08-14 |
| 1013528496 | Christina Kay Ford | Pharmacist | 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2020-08-11 |
| 1174141709 | Zsanett Kormanyos | Pharmacist | 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2020-07-09 |
| 1265050025 | Allison Catherine Clemens | Pharmacist | 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2020-07-08 |
| 1821610056 | Elle Stronczek | Dietitian, Registered | 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2020-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881154110 | Nancy Jean Ehmke | Clinical Nurse Specialist | 11151 Parkview Plaza Dr, Fort Wayne, IN 46845 | 2019-03-22 |
| 1043703903 | Kara Stackhouse | Nurse Practitioner | 11050 Parkview Plaza Drive, Fort Wayne, IN 46845 | 2018-06-14 |
| 1871082412 | Tara K Jellison | Pharmacist | 11109 Parkview Plaza Drive -- Attn Pharmacy, Fort Wayne, IN 46845 | 2018-05-09 |
| 1578097572 | Forefront Dermatology, S.c. | Dermatology | 4020 New Vision Drive, Fort Wayne, IN 46845 | 2017-04-17 |
| 1811437999 | Jessica Ann Lefever | Behavioral Analyst | 3898 New Vision Dr Ste D, Fort Wayne, IN 46845 | 2017-03-08 |
| 1033668041 | Bhi Home Care, Inc. | In Home Supportive Care | 820 Mill Lake Road, Fort Wayne, IN 46845 | 2016-10-03 |
| 1467814939 | Austin Wyss | Specialist/Technologist | 11130 Parkview Circle Drive, Ft. Wayne, IN 46845 | 2016-03-24 |
| 1154713584 | Ashley Whitcraft | Specialist/Technologist | 11130 Parkview Plaza Drive #4, Fort Wayne, IN 46845 | 2015-02-23 |
| 1275975682 | Lakshmi Mohan Viji Das | Internal Medicine | 11143 Parkview Plaza Dr Ste 311, Fort Wayne, IN 46845 | 2013-07-26 |
| 1336482496 | Mithun Mohana Shenoi | Colon & Rectal Surgery | 11104 Parkview Circle Drive Suite 320, Fort Wayne, IN 46845 | 2013-03-27 |
| Find all providers in zip 46845 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
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| 1861725459 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 6033 N Clinton St, Fort Wayne, IN 46825-4903 | 2009-09-14 |
| 1780819755 | Spine Sports and Pain Medicine, PC | Clinical Medical Laboratory | 7900 W Jefferson Blvd, Fort Wayne, IN 46804-4128 | 2009-05-20 |
| 1700064953 | Candu Lab Services | Clinical Medical Laboratory | 2118 Inwood Dr, Suite 121, Fort Wayne, IN 46815-7115 | 2008-02-08 |
| 1346421088 | Pa Labs Inc | Clinical Medical Laboratory | 7635 W Jefferson Blvd, Fort Wayne, IN 46804-4133 | 2007-11-23 |
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| 1538719810 | Labcorp Indiana Inc | Clinical Medical Laboratory | 5340 Holy Cross Pkwy Ste 206, Mishawaka, IN 46545-1470 | 2019-09-18 |
| 1568012540 | Labcorp Indiana Inc | Clinical Medical Laboratory | 125 St Liam Hall, Notre Dame, IN 46556-5693 | 2019-09-12 |
| 1013567098 | Labcorp Indiana Inc | Clinical Medical Laboratory | 1320 S Wisconsin St, Hobart, IN 46342-5502 | 2019-09-12 |
| 1609426667 | Labcorp Indiana Inc | Clinical Medical Laboratory | 1506 Osolo Rd Ste A, Elkhart, IN 46514-4122 | 2019-09-12 |
| 1659921617 | Labcorp Indiana Inc | Clinical Medical Laboratory | 611 E Douglas Rd Ste 300, Mishawaka, IN 46545-1467 | 2019-09-12 |
| 1518516533 | Labcorp Indiana Inc | Clinical Medical Laboratory | 530 N Lafayette Blvd Fl 2, South Bend, IN 46601-1004 | 2019-09-11 |
| 1588226864 | Accutreat LLC | Clinical Medical Laboratory | 9661 Crosspoint Blvd, Indianapolis, IN 46256 | 2019-07-08 |
| Find all providers with the same taxonomy | ||||
| City | FORT WAYNE |
| Zip Code | 46845 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.